Provider Demographics
NPI:1689982027
Name:ALLMER VISION CENTER, PC
Entity Type:Organization
Organization Name:ALLMER VISION CENTER, PC
Other - Org Name:EYE CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:605-343-1200
Mailing Address - Street 1:2200 N MAPLE AVE UNIT 252
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-7882
Mailing Address - Country:US
Mailing Address - Phone:605-343-1200
Mailing Address - Fax:605-341-3338
Practice Address - Street 1:2200 N MAPLE AVE UNIT 252
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-7882
Practice Address - Country:US
Practice Address - Phone:605-343-1200
Practice Address - Fax:605-341-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDT563152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty